Pakistan Alliance for Nicotine and Tobacco Harm Reduction (PANTHR)


Resources - Articles


The Irreconcilable Conflict Principle (November 10, 2020)
Sometimes defining an iron rule or governing idea and reorganizing our understanding of the world around it can be immensely revealing. Einstein developed the special theory of relativity from an assumption that the speed of light in a vacuum is unwaveringly constant. The most surprising results follow from that. Darwin showed that a simple mechanism, variation and natural selection, could explain much of the astonishing complexity of the natural world. Governing ideas are found everywhere: supply, demand and prices in economics; innocent-until-proven-guilty in criminal justice; and mutually assured destruction in arms control are further examples.

The Irreconcilable Conflict Principle

The Birth of Harm Reduction Informs the World's Need for Safer Nicotine (November 07, 2020)
Early in 1987 the Conservative government took the radical decision to provide sterile injecting equipment to people who inject in response to the HIV crisis. Only a few months before, it had run an anti-heroin campaign. Now it was giving out free syringes.

The Birth of Harm Reduction Informs the World's Need for Safer Nicotine

Tobacco Regulation: Who is Getting It Right? (September 30, 2020)
I recently addressed the 2020 GTNF conference on the topic of "who is getting tobacco regulation right?". My answer was blunt: at present, very few! If we were, we would not have eight million deaths a year from tobacco use. Nor would we have 1.3 billion people still using tobacco products, most in a toxic combustible or dangerous smokeless form. The goal of a regulator should be primarily to reduce that harm in the fastest possible time. Sadly, this isn't the case today.

Tobacco Regulation: Who is Getting It Right?

State ownership of tobacco companies and the WHO Framework Convention on Tobacco Control. (September 22, 2020)
The focus of this report is on the contradictions and conflicts experienced by governments that own major stakes in tobacco companies, yet are required to support tobacco control at the same time because they are signatories to the World Health Organization's Framework Convention on Tobacco Control (FCTC). The broader tobacco control environment is not covered by the report, although the context is important.

State ownership of tobacco companies and the WHO Framework Convention on Tobacco Control.

Focusing on recent publication of Gaiha et al. (September 17, 2020)
As a result of the COVID-19 pandemic, it is a challenge for the scientific community to publish results quickly, and publication often occurs at the price of quality and reproducibility, which in turn undermines the public's trust of science.

Focusing on recent publication of Gaiha et al.

Government intervention in the market for electronic nicotine delivery systems (ENDS). The known, the unknown and the challenges (September 08, 2020)
ENDS are considerably less harmful than cigarettes. Imposing the same tax burden on them (per unit of "harm") as on cigarettes leads to poorer health outcomes. Differential tax treatment of ENDS will encourage more cigarette smokers to switch to ENDS and could save millions of lives worldwide.

Government intervention in the market for electronic nicotine delivery systems (ENDS). The known, the unknown and the challenges

Overcoming barriers to disseminate effective smoking cessation treatments globally (September 08, 2020)
Major gaps remain in cessation products' availability and resource allocation for cessation services globally. Current licensed products are falling short on delivering and sustaining smoking cessation. Innovation in cessation products and services needs to build on learnings in nicotine pharmacokinetics, behavioural insights from consumer research and tap into 21st century tools such as mobile based apps. National implementation of FCTC's Article 14 needs to follow guidelines that encourage integration into existing health programmes and health-care practitioners' (HCPs) upskilling.

Overcoming barriers to disseminate effective smoking cessation treatments globally

Perceptions of nicotine in current and former users of tobacco and tobacco harm reduction products from seven countries (September 08, 2020)
This study specifically assessed public perceptions of nicotine as opposed to products containing nicotine, which is the focus of previous studies. Apart from showing that consumers often incorrectly perceive nicotine and cigarettes as similar in terms of harmfulness, the authors highlight the need for more accurate and complete reporting by the media to clarify widespread misunderstandings and mitigate public uncertainty.

Perceptions of nicotine in current and former users of tobacco and tobacco harm reduction products from seven countries

Goodbye Nicky hello Goldie - exploring the opportunities for transitioning tobacco farmers into cannabis production in Malawi (September 08, 2020)
The purpose of this paper is to illustrate the opportunities for tobacco farmers in Malawi from diversifying to cannabis, and the potential benefits for reducing deforestation by producing a cannabis based alternative fuel. It further argues that there are tensions between the conflicting objectives of the Framework Convention on Tobacco Control and the Single Convention on Narcotic Drugs.

Goodbye Nicky hello Goldie - exploring the opportunities for transitioning tobacco farmers into cannabis production in Malawi

Tobacco smoking in three "left behind" subgroups: indigenous, the rainbow community and people with mental health conditions (September 08, 2020)
This paper aims to investigate the extent to which three subgroups - people with mental health conditions, people belonging to sexual minority and gender groups and Indigenous peoples - have been "left behind" by countries implementing the World Health Organization's Framework Convention on Tobacco Control

Tobacco smoking in three

Tobacco harm reduction in the 21st century (September 08, 2020)
Toxicological testing, population studies, clinical trials and randomized controlled trials demonstrate the potential reductions in exposures for smokers. Many barriers impede the implementation of product substitution in tobacco harm reduction. These products have been subjected to regulatory bans and heavy taxation and are rejected by smokers and society based on misperceptions about nicotine, sensational media headlines and unsubstantiated fears of youth addiction. These barriers will need to be addressed if tobacco harm reduction is to make the maximum impact on the tobacco endemic.

Tobacco harm reduction in the 21st century

An overview of tobacco control interventions in the Global South (September 08, 2020)
Despite the FCTC detailing the significance of the research, studies are still lacking in the Global South. There are significant research gaps such as longitudinal studies, harm reduction and randomized controlled trials.

An overview of tobacco control interventions in the Global South

Gender and Tobacco Control (August 17, 2020)
For more than thirty years, there have been many calls for the mainstreaming of gender into tobacco control; however, insufficient progress has been made with dire health and economic consequences.

Gender and Tobacco Control

Who is really co-opting harm reduction? (August 17, 2020)
The new generation of tobacco harm reduction products (HRPs) has the potential to save millions of lives and finally end the use of toxic combustible cigarettes.

Who is really co-opting harm reduction?

Models of Smoking-Attributable Mortality Must Consider the Effects of Major Intervention (August 14, 2020)
Smoking-related mortality in 2060 could be cut by about 3.5 million deaths if we: (1) increase access to THR products; and (2) improve treatment, cessation, and diagnostic tools.

Models of Smoking-Attributable Mortality Must Consider the Effects of Major Intervention

A Rose By Any Other Name (August 03, 2020)
Ex-smokers deserve a seat at the table in decisions affecting not only names, but research priorities, regulations, taxes, and bans that affect them.

A Rose By Any Other Name

The Need to Make Harm Reduction, Smoking Cessation Part of Tobacco Control Policies in Pakistan (July 22, 2020)
"Two research studies have highlighted the effective role tobacco harm reduction and cessation strategies can play in achieving the objectives of FCTC and reducing combustible smoking," said Arshad Ali Syed, Project Director of PANTHR. Smoking cessation is completely missing from the tobacco control efforts in Pakistan, he added.

The Need to Make Harm Reduction, Smoking Cessation Part of Tobacco Control Policies in Pakistan

Overcoming barriers to disseminate effective smoking cessation treatments globally (July 13, 2020)
Current available cessation products and services are suboptimal in their effectiveness. Cost and efficacy of current smoking cessation medications on the market is an impediment to availability, accessibility and cessation success in Low-Middle Income Countries (LMICs).

Overcoming barriers to disseminate effective smoking cessation treatments globally

Accelerating an end to smoking: a call to action on the eve of the FCTC's COP9 (July 09, 2020)
As we evaluate progress toward the goals of the FCTC and how best to update its text, it is vital that we learn from the challenges of other treaties, as well as shortcomings of the FCTC itself. Future efforts must prioritize the end of adult smoking, with particular emphasis on demographics and regions where progress has been slow.

Accelerating an end to smoking: a call to action on the eve of the FCTC's COP9

A Policy On Smoking Without Smokers Onboard Is No Good. Here's Why! (July 09, 2020)
Smokers have never been part of the tobacco control policies in Pakistan. Around 27% smokers in Pakistan at least make one attempt in a year and out of them 2.8% quit smoking successfully.

A Policy On Smoking Without Smokers Onboard Is No Good. Here's Why!

The 2019 EVALI 'Misinfodemic' (May 29, 2020)
THC and nicotine vaping involve different devices, liquids, supply chains, people, and purposes. They should not be confused. But they were. Our analysis shows that evaluated news coverage focused primarily on nicotine vaping, and on nicotine itself.

The 2019 EVALI 'Misinfodemic'

انسانی صحت اور عالمی ادارہ صحت


اگر عالمی ادارہ صحت کچھ مختلف طرزِ عمل اختیار نہیں کرتا اور تمباکو پالیسی میں جدّت کو قبول نہیں کرتاتو ادارہ دل، کینسر اور پھیپھڑوں کے امراض میں کمی کے اہداف کے حصول میں بہت پیچھے رہ جائے گا۔


جو فرد سگریٹ نوشی ترک کرنا چاہتا ہے اس کی نیکوٹین کی طلب اور نفسیات کو سامنے رکھتے ہوئے کونسلنگ کی ضرورت ہے، ڈاکٹر احسن لطیف


اگر ہم چاہتے ہیں کہ سگریٹ نوشی ختم ہو جائے تو سگریٹ پینے والوں کواس بارے میں تمام بحث میں سب سے آگے ہونا چاہئے تاکہ وہ اپنی ضرورتوں کا خیال رکھ سکیں۔


ما قبل کورونا اور ما بعد


کورونا کے مابعد اثرات میں ایک خوفناک ترین اثر بڑے پیمانے پر دنیا کی آبادی کے ایک بڑے حصے کا خطِ غربت سے نیچے گِرنے کا اندیشہ ہے جس کے نتیجے میں بے روزگاری اور غربت میں غیر معمولی اضافہ ہو گا۔








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